Provider Demographics
NPI:1477809820
Name:CASTEEL, JAMES DYLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DYLAN
Last Name:CASTEEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 HACIENDA DR STE 107
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-6639
Mailing Address - Country:US
Mailing Address - Phone:760-630-8060
Mailing Address - Fax:
Practice Address - Street 1:510 HACIENDA DR STE 107
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-6639
Practice Address - Country:US
Practice Address - Phone:760-630-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32335111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor